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Liver histopathology in the Yorkshire region: a network model
  1. G Reall1,
  2. R L Jones2,
  3. J I Wyatt1
  1. 1
    Histopathology Department, St James’s University Hospital, Leeds, UK
  2. 2
    Hepatology Department, St James’s University Hospital, Leeds, UK
  1. Correspondence to Dr J I Wyatt, Histopathology Department, St James’s University Hospital, Beckett Street, Leeds LS9 7TF, UK; judy.wyatt{at}


Aim: To investigate the volume and provision of local liver histopathology in the 11 hospitals of the Yorkshire region outside Leeds, as a potential model for a hepatopathology network.

Methods: Postal questionnaire to all histopathologists in 11 hospital trusts in Yorkshire.

Results: Liver biopsies represent about 0.5% histopathology requests in Yorkshire, with more medical than tumour biopsies. Pathologists often discuss these biopsies with each other and clinicians; a third had done liver continuing professional development (CPD) in the last 3 years, and 70% would like to do more. Overall, around 5% liver biopsies are reviewed in the hepatology centre, and most responders thought this about right.

Conclusions: For primary reporting of liver biopsies, local pathologists need good communication with the responsible clinician, access to relevant CPD in liver pathology and a biopsy referral pathway for cases which are clinically or pathologically challenging.

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  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.